Community Health Centers: Community Treasures

1. Community Health Centers: Community Treasures May 2012

2. A Quick Quiz • How many Americans were without health insurance coverage in 2010? • 11 million • 27 million • 49 million • Don’t Know • Compared to adults, children are: • About as likely to be uninsured. • Less likely to be uninsured. • More likely to be uninsured. • Don’t know

3. 3. Most uninsured are not covered by employer-based coverage because: • They don’t have a job. • Their employer does not offer coverage. • They chose not to take up the coverage offered by their employer. • Don’t know 4. Medicaid fills in gaps in the availability of health insurance by: • Covering all people below the poverty line. • Covering only children. • Covering certain groups of low-income people. • Don’t know

4. 5. When someone with health coverage through their employer loses their job, what generally happens to their health coverage? • Their employer is required to continue to provide and pay for their coverage for six months from termination. • They automatically become enrolled in public coverage through Medicaid or CHIP. • They lose their coverage. • Don’t know.

5. 6. Most of the uninsured go without coverage because: • They don’t want coverage. • They cannot afford coverage. • They are healthy enough that they don’t need coverage. • Don’t know.

6. The Affordable Care Act seeks to make coverage available to those currently uninsured by: • Extending Medicare to all Americans. • Expanding Medicaid and providing subsidies to assist with the purchase of private insurance. • Making all Americans join a managed care plan. • Don’t know.

7. 8. The nonelderly uninsured population is predominantly which of the following: • People from working families. • Illegal immigrants. • Young adults, age 19-25 years. • Don’t know.

8. 9. Compared to the insured, the uninsured are more likely to: • Rely on the emergency room for care. • Keep up with preventive care. • Forgo health care services when they are sick. • Don’t know

9. 10. When the uninsured need to use health care services: • Their care is free. • Most of their care is paid for by a special fund set aside for this purpose. • They are typically billed for those services. • Don’t know

10. And the answers are: 1. 49 million 2. Less likely to be insured 3. Their employer does not offer coverage 4. Covering certain groups of low-income people. 5. They lose their coverage 6. They cannot afford coverage 7. Expanding Medicaid and providing subsidies to assist with the purchase of private insurance 8. People from working class 9. Forgo health care services when they are sick. 10. They are typically billed for those services.

11. Washington Association of Community and Migrant Health Centers • Provide technical assistance and advocacy for Community Health Centers to increase access and quality of care to all • Emergency Preparedness: • Provide NIMS training • Provide EP webinars • Support training for secures networks • Liaison with EP Partners • On-site consultation for EP planning • Conduct sat phone drills • TA training to Promotoras • National Peer Network

12. 2011 Snapshot: Washington’s Community Health Centers • 26 Community Health Centers • 170 + Service Delivery Sites • 771,381 Total Patients • 5700 Total employees

13. Where we are

14. The Three E’s • Essential • Experienced • Efficient

15. Essential • CHCs provide access to all patients that walk through the door, regardless of their ability to pay. • Serves the rising number of uninsured in Washington. • Reduces healthcare disparities. The majority number of patients (67%) live at, or below, the federal poverty level. • Provides a health care home for nearly one-third of the state’s uninsured, including 50% of the state’s uninsured children (43,573).

16. Experienced • 30 years experience • Education, prevention, early intervention services • Encourage regular doctor/patient relationship • Prevent new health problems • Patient Centered Medical Home Recognition • Continue to improve access to care

17. Efficient • CHCs are part of the health care solution • Over $355 million spent in avoidable ER visits (2006) • Chronic disease management • Evident-based clinical practice, • Deliver good health outcomes

18. Primary Care Services • General primary medical care • Prenatal Care • Dental Care • Mental health treatment/counseling • Substance abuse treatment/counseling • Hearing screening • Vision screening • Pharmacy

19. Preventive Services • Woman’s Health • Smoking cessation • HIV testing & counseling • Glycosylated hemoglobin measurement, diabetes • Dental Services • Blood pressure monitoring • Blood cholesterol screening • Weight reduction programs

20. Wraparound Services • Outreach • Case management • Eligibility assistance • Health education • Interpretation/translation services • Transportation • Medication Assistance

21. Why Partner with a CHC? • EP Response Plan • NIMS trained • Participate in each Region’s Healthcare Coalition • Communication Drills • Collaborate with LHJ • Participate with County Emergency Management

22. What’s our Potential • Improve outcomes : • All CHC Providers, nurses, psychiatrists, psychologists, MSWs join MRC • Registered Emergency Responders • Additional Treatment Sites: • Mass Vaccinations • Access to Medical Supplies & equipment

23. Community Health of Central Washington • 4 (soon to be 5) clinics in Yakima and Kittitas Counties • 200 employees- 10 residents per year • Bilingual Spanish services at all clinic with use of language line for others • EHR/EDR • Emergency Radios and Cell phones • NIMS 100 and 700 (35), and 200 (6) • 72 hour emergency 10- person kits/ ASPR grant • Evacuation Drills/Safety Committee/EP Committee • Table tops and Functional exercises with Region 7 and 8 and local

24. Valley View Health Center • 8 clinics in Lewis and Pacific Counties • 100 employees • Bilingual Spanish services at all clinics • EHR/EDR • Satellite phone • Radios • Wireless messaging • NIMS 100, 200, 700 and 800

25. VVHC continued • 72 hour emergency backpack • Drills • Evacuations • Floods • Emergency Response Plan • Partners: WACMHC, local health department, local emergency management and Region 3 HCC • Member of Lewis County Homeland Security Committee.

26. Health Reform • It’s the law ……. ……..or is it?

27. 1. Will the health reform law require nearly all Americans to have health insurance starting in 2014 or else pay a fine? • No, the law will not do this • Yes, the law will do this • Don't know

28. 2. Will the health reform law allow a government panel to make decisions about end-of-life care for people on Medicare? • No, the law will not do this • Yes, the law will do this • Don't know

29. 3. Will the health reform law cut benefits that were previously provided to all people on Medicare? • No, the law will not do this. • Yes, the law will do this. • Don't know

30. 4. Will the health reform law expand the existing Medicaid program to cover low-income, uninsured adults regardless of whether they have children? • No, the law will not do this. • Yes, the law will do this. • Don't know

31. 5. Will the health reform law provide financial help to low and moderate income Americans who don't get insurance through their jobs to help them purchase coverage? • No, the law will not do this. • Yes, the law will do this. • Don't know

32. 6. Will the health reform law prohibit insurance companies from denying coverage because of a person's medical history or health condition? • No, the law will not do this. • Yes, the law will do this. • Don't know

33. 7. Will the health reform law require all businesses, even the smallest ones, to provide health insurance for their employees? • No, the law will not do this. • Yes, the law will do this. • Don't know

34. 8. Will the health reform law provide tax credits to small businesses that offer coverage to their employees? • No, the law will not do this. • Yes, the law will do this. • Don't know

35. 9. Will the health reform law create a new government run insurance plan to be offered along with private plans? • No, the law will not do this. • Yes, the law will do this. • Don't know

36. 10. Will the health reform law allow undocumented immigrants to receive financial help from the government to buy health insurance? • No, the law will not do this. • Yes, the law will do this. • Don't know • More info: www.kff.org

37. And the answers are ……. • 1.yes • 2. no • 3. no • 4. yes • 5. yes • 6. yes • 7. no • 8. yes • 9. no • 10. no

38. Where is the treasure in your community? • Thank You • Gretchen O’Connor goconnor@wacmhc.org • Linda Tomasheck ltomasheck@vvhc.org • Leslie Myrick leslie.myrick@commhealthcw.org